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62 Possible Causes for Hypertonicity of the Lower Limbs

  • X-linked Parkinsonism-Spasticity Syndrome

    The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] limbs.[jnnp.bmj.com] This pattern of hypertonicity is responsible for the classic gait with the affected person demonstrating circumduction and toe walking.[jnnp.bmj.com]

  • Arachnoiditis

    Methods Examination revealed generalized weakness and hypertonicity of both lower limbs with loss of all sensory modalities below D7.[doi.org] She reported severe burning pain in the lumbar region accompanied by burning pain and loss of sensation in the lower limbs.[doi.org]

  • Paraparesis

    The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] limbs.[jnnp.bmj.com] This pattern of hypertonicity is responsible for the classic gait with the affected person demonstrating circumduction and toe walking.[jnnp.bmj.com]

  • Autosomal Recessive Lower Motor Neuron Disease with Childhood Onset

    limbs, hypertonic urinary bladder, and impaired vibration sense.[clinicalgate.com] Selected Upper Motor Neuron Disorders Hereditary Spastic Paraplegia Like PLS, HSP is a disorder of UMNs and presents most commonly with progressive spasticity, weakness of the lower[clinicalgate.com]

  • Hereditary Hyperekplexia

    The hypertonia, which is predominantly in the trunk and lower limbs, often diminishes during the first year of life, but the pathological startle response, which can provoke[doi.org] The symptoms are most severe in neonates and infants in whom intense hypertonicity can lead to apnea episodes and prolonged cyanotic attacks.[doi.org]

  • Cerebral Palsy

    All had spasticity affecting predominantly the lower limbs, although 2 also had mild hypertonia and ataxia of the upper limbs.[ncbi.nlm.nih.gov] Spastic features included hypertonicity, hyperreflexia, and extensor plantar responses. Two older sibs had contractures.[ncbi.nlm.nih.gov]

  • Sepsis Neonatorum

    Hypertonia was the most frequent dysfunction (17 evaluated as hypertonic and seven as hypotonic), mainly affecting the upper and/or lower limbs, or one hemisphere.[scielo.br]

  • Spastic Paraplegia

    The lower limb spasticity is the prominent finding on examination, particularly in the hamstrings, quadriceps, and ankles.[jnnp.bmj.com] limbs.[jnnp.bmj.com] This pattern of hypertonicity is responsible for the classic gait with the affected person demonstrating circumduction and toe walking.[jnnp.bmj.com]

  • Osteogenesis Imperfecta Type 3

    Apart from mild hyperreflexia, the upper limbs were normal. However, the lower limbs were markedly hypertonic with brisk reflexes and sustained ankle clonus.[jnnp.bmj.com]

  • Congenital Anomaly of the Spine

    Severe motor impairment was present in nine patients, five of whom were paraparetic and four paraplegic; one newborn (case 7) presented with moderately hypertonic lower limbs[ajnr.org] lower limbs at presentation, although severe paraparesis developed subsequently.[ajnr.org] […] indiscernible cord were paraplegic at presentation; however, one newborn with hypoplastic cord was paraplegic, whereas one patient with an indiscernible cord had mildly hypertonic[ajnr.org]

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